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. 2015 Feb 12;2015(2):CD008349. doi: 10.1002/14651858.CD008349.pub3

Yang 2011

Methods RCT
Participants Recruited from a hospital in Taiwan
14 participants: 7 intervention, 7 control
Inclusion criteria: hemiplegia resulting from a stroke more than 6 months ago. Able to understand the treadmill exercises
Exclusion criteria: inability to walk independently (without using an assistive device), abnormal neuro‐opthalmologic findings after examination and visual acuity problems after correction
Mean (SD) age: intervention group 56.3 (10.2), control group 65.7 (5.9) years
Stroke details: 36% right hemiparesis
Timing post stroke: intervention group mean (SD) 17 (8.6) months, control group 16.3 (10.4) months
Interventions Virtual reality intervention: standard occupational therapy and physiotherapy program plus virtual reality treadmill training. The treadmill was co‐ordinated with the interactive scenes so that a stepping switch turned the scenes left or right as if the person was turning a corner. Participants had to make 16 turns per session
Control intervention: treadmill training facing a window
Sessions were 20 minutes, 3 times a week for 3 weeks (approximately 3 hours total)
Outcomes Outcomes recorded at baseline and post‐intervention
Gait outcomes: bilateral limb loading symmetric index, paretic limb stance time, number of steps of the paretic limb, contact areas of the paretic foot during quiet stance, sit‐to‐stand transfer and level walking
Balance outcomes: centre of pressure
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of outcome assessment (detection bias) All outcomes Low risk Blinded to allocation
Incomplete outcome data (attrition bias) All outcomes Unclear risk Insufficient detail reported to tell
Selective reporting (reporting bias) Unclear risk Protocol not available